Association of Changes in Diet Quality with Total and Cause-Specific Mortality

Sotos-Prieto, Mercedes; Bhupathiraju, Shilpa N; Mattei, Josiemer; Fung, Teresa T.; Li, Yanping; Pan, An; Willett, Walter C.; Rimm, Eric B.; Hu, Frank B.

doi:10.1056/nejmoa1613502

Cited by 391 publications

(316 citation statements)

References 34 publications

(50 reference statements)

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“…A recent meta‐analyses showed that higher diet quality scores measured with the Alternate HEI, Alternate Mediterranean Diet, DASH score and the HEI‐2010 were associated with an estimated 17%‐26% reduction in risk of all‐cause mortality . A large study by Sotos‐Prieto et al found consistent associations between improved diet quality over 12 years as assessed by the Alternate HEI, Alternate Mediterranean Diet, and DASH scores and a reduced risk of death in the subsequent 12 years . While prior studies have assessed diet quality and mortality, we are the first to do so in the context of NAFLD.…”

Section: Discussionmentioning

confidence: 86%

Diet quality and its association with nonalcoholic fatty liver disease and all‐cause and cause‐specific mortality

Yoo

Kim

Vazquez‐Montesino

et al. 2020

Liver International

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Background & Aims Healthy diet has been recommended for nonalcoholic fatty liver disease (NAFLD), although it is not clear whether improving diet quality can prevent mortality. We aim to assess the impact of quality of diet on NAFLD and mortality in subjects with and without NAFLD. Methods We performed cohort study using the Third National Health and Nutrition Examination Survey from 1988 to 1994 and linked mortality data through 2015. We used the Healthy Eating Index (HEI) scores to define diet quality, with higher HEI scores (Q4) indicating better adherence to dietary recommendations. NAFLD was defined as ultrasonographic hepatic steatosis. Results Multivariate analysis showed that subjects with higher diet quality were inversely associated with NAFLD in a dose‐dependent manner. During the median follow‐up of 23 years, having a higher diet quality was associated with reduction in risk of all‐cause mortality in the age, sex, Race/ethnicity‐adjusted hazard ratio (HR) (Q4, HR: 0.60, 95% CI: 0.52‐0.68) and the multivariate model (Q4, HR: 0.81, 95% CI: 0.71‐0.92). Higher diet quality was associated with a lower risk for all‐cause mortality in subjects without NAFLD; however, this protective association with diet quality was not noted in those with NAFLD. Furthermore, a high diet quality was associated with a lower risk for cancer‐related mortality in the total population and among those without NAFLD. This association was not noted in those with NAFLD. Conclusions High diet quality was inversely associated with NAFLD and was positively associated with a lower risk for cancer‐related and all‐cause mortality in those without NAFLD.

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Section: Discussionmentioning

confidence: 86%

Diet quality and its association with nonalcoholic fatty liver disease and all‐cause and cause‐specific mortality

Yoo

Kim

Vazquez‐Montesino

et al. 2020

Liver International

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“…Children, and their participating parent, work to increase fruits and vegetables per day and to decrease high-fat foods to lose weight and promote long-term health [60]. An emphasis is placed on developing sustainable healthy eating habits and these changes are shaped over time, a process of reinforcing successive approximations of a target behavior that helps to slowly and steadily build new habits [61].…”

Section: Fbt Treatment Componentsmentioning

confidence: 99%

Disordered Eating Attitudes and Behaviors in Youth with Overweight and Obesity: Implications for Treatment

et al. 2018

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Purpose of the Review: Children with obesity experience disordered eating attitudes and behaviors at high rates, which increases their risk for adult obesity and eating disorder development. As such, it is imperative to screen for disordered eating symptoms and identify appropriate treatments. Recent findings: Family-based multicomponent behavioral weight loss treatment (FBT) is effective at treating childhood obesity and demonstrates positive outcomes on psychosocial outcomes, including disordered eating. FBT utilizes a socio-ecological treatment approach that focuses on the development of individual and family healthy energy balance behaviors as well as positive self- and body-esteem, supportive family relationships, richer social networks, and the creation of a broader environment and community that facilitates overall physical and mental health. Summary: Existing literature suggests FBT is an effective treatment option for disordered eating and obesity in children. Future work is needed to confirm this conclusion and to examine the progression and interaction of obesity and disordered eating across development to understand the time for optimal intervention.

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“…In fact, previous research has shown that the health benefits of doing high and very high levels of PA remain for some time ; moreover, PA is an important determinant of cardiorespiratory fitness, which is a more stable biological marker with a strong inverse relationship with obesity and critical component for predicting major clinical outcomes in obesity . Future research with a longer follow‐up may shed more light on this issue; for instance, one study on the timing of dietary changes on subsequent health outcomes indicates that the associations were strengthened when changes over a longer duration were evaluated .…”

Section: Discussionmentioning

confidence: 99%

Association of Changes in Physical Activity and Incidence and Remission of Overall and Abdominal Obesity in 113,950 Adults

Martínez‐Gómez

Hamer

Ortega

et al. 2020

Obesity

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Objective This study examined the dose‐response relationship between changes in physical activity (PA) and subsequent incidence or remission of overall and abdominal obesity. Methods A total of 113,950 healthy individuals aged ≥ 18 years participating in the Taiwan MJ Cohort were included. Two‐year changes in PA between the first and second examination were linked to subsequent development and remission of overall and abdominal obesity. Results During a mean 5.6‐year follow‐up after the second examination, 9,991 and 11,488 individuals developed overall and abdominal obesity, respectively; also, 3,588 and 3,156 participants with obesity lost sufficient weight or reduced their waist circumference to be classified as nonobese. Compared with no changes in PA, the multivariable hazard ratio (95% CI) of overall obesity was 0.95 (0.90‐1.00) for a PA increase of 0.01 to 3.74 metabolic equivalent hours (MET‐h) per week and 0.86 (0.80‐0.91) for a PA increase of ≥ 3.75 MET‐h per week. Corresponding values for remission of obesity were 1.00 (0.91‐1.09) and 1.16 (1.05‐1.28). Similar results were observed for the development and remission of abdominal obesity. Any decrease in PA was not associated with the risk of obesity outcomes when compared with a stable pattern (0 MET‐h/week). Conclusions Increasing PA was consistently associated with a progressively lower incidence and higher remission of overall and abdominal obesity.

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Association of Changes in Diet Quality with Total and Cause-Specific Mortality

Cited by 391 publications

References 34 publications

Diet quality and its association with nonalcoholic fatty liver disease and all‐cause and cause‐specific mortality

Diet quality and its association with nonalcoholic fatty liver disease and all‐cause and cause‐specific mortality

Disordered Eating Attitudes and Behaviors in Youth with Overweight and Obesity: Implications for Treatment

Association of Changes in Physical Activity and Incidence and Remission of Overall and Abdominal Obesity in 113,950 Adults

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